Transjugular Intrahepatic Portosystemic Shunt Placement for Variceal Bleeding

Predictors of Mortality

Carlos E. Encarnacion, Julio C Palmaz, Frank J. Rivera, Oscar A. Alvarez, Kedar N Chintapalli, James D. Lutz, Stewart R. Reuter

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Original languageEnglish
Pages (from-to)687-694
Number of pages8
JournalJournal of Vascular and Interventional Radiology
Volume6
Issue number5
DOIs
StatePublished - 1995
Externally publishedYes

Fingerprint

Transjugular Intrahepatic Portasystemic Shunt
Hemorrhage
Mortality
Survival
Varicose Veins

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Encarnacion, C. E., Palmaz, J. C., Rivera, F. J., Alvarez, O. A., Chintapalli, K. N., Lutz, J. D., & Reuter, S. R. (1995). Transjugular Intrahepatic Portosystemic Shunt Placement for Variceal Bleeding: Predictors of Mortality. Journal of Vascular and Interventional Radiology, 6(5), 687-694. https://doi.org/10.1016/S1051-0443(95)71165-4

Transjugular Intrahepatic Portosystemic Shunt Placement for Variceal Bleeding : Predictors of Mortality. / Encarnacion, Carlos E.; Palmaz, Julio C; Rivera, Frank J.; Alvarez, Oscar A.; Chintapalli, Kedar N; Lutz, James D.; Reuter, Stewart R.

In: Journal of Vascular and Interventional Radiology, Vol. 6, No. 5, 1995, p. 687-694.

Research output: Contribution to journalArticle

Encarnacion, CE, Palmaz, JC, Rivera, FJ, Alvarez, OA, Chintapalli, KN, Lutz, JD & Reuter, SR 1995, 'Transjugular Intrahepatic Portosystemic Shunt Placement for Variceal Bleeding: Predictors of Mortality', Journal of Vascular and Interventional Radiology, vol. 6, no. 5, pp. 687-694. https://doi.org/10.1016/S1051-0443(95)71165-4
Encarnacion, Carlos E. ; Palmaz, Julio C ; Rivera, Frank J. ; Alvarez, Oscar A. ; Chintapalli, Kedar N ; Lutz, James D. ; Reuter, Stewart R. / Transjugular Intrahepatic Portosystemic Shunt Placement for Variceal Bleeding : Predictors of Mortality. In: Journal of Vascular and Interventional Radiology. 1995 ; Vol. 6, No. 5. pp. 687-694.
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abstract = "Purpose: To identify factors that predict survival in patients with variceal bleeding who have undergone transjugular intrahepatic portosystemic shunt (TIPS) placement. Patients and Methods: TIPS was performed in 64 of 65 patients. Indications were bleeding esophagogastric varices in 64 patients and hemorrhoidal bleeding in one. Child-Pugh classifications were A in two patients, B in 32, and C in 31. Acute bleeding was controlled before TIPS in 26 patients in stable condition but not in 39 patients whose condition was unstable. Results: Twelve patients died within 30 days of TIPS, and another 14 died thereafter. The cumulative survival rate was 67{\%} at 6 months and 56{\%} at 1 year. Cumulative 30-day survival was 96{\%} for stable and 69{\%} for unstable patients, a significant difference (P = .0135). Thirty-day survival was 91{\%} for patients in Child-Pugh classes A and B combined and 71{\%} for patients in class C (P = .042). Conclusion: Efforts to control acute bleeding and improve a patient's metabolic status before TIPS are likely to improve 30-day survival.",
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AU - Encarnacion, Carlos E.

AU - Palmaz, Julio C

AU - Rivera, Frank J.

AU - Alvarez, Oscar A.

AU - Chintapalli, Kedar N

AU - Lutz, James D.

AU - Reuter, Stewart R.

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N2 - Purpose: To identify factors that predict survival in patients with variceal bleeding who have undergone transjugular intrahepatic portosystemic shunt (TIPS) placement. Patients and Methods: TIPS was performed in 64 of 65 patients. Indications were bleeding esophagogastric varices in 64 patients and hemorrhoidal bleeding in one. Child-Pugh classifications were A in two patients, B in 32, and C in 31. Acute bleeding was controlled before TIPS in 26 patients in stable condition but not in 39 patients whose condition was unstable. Results: Twelve patients died within 30 days of TIPS, and another 14 died thereafter. The cumulative survival rate was 67% at 6 months and 56% at 1 year. Cumulative 30-day survival was 96% for stable and 69% for unstable patients, a significant difference (P = .0135). Thirty-day survival was 91% for patients in Child-Pugh classes A and B combined and 71% for patients in class C (P = .042). Conclusion: Efforts to control acute bleeding and improve a patient's metabolic status before TIPS are likely to improve 30-day survival.

AB - Purpose: To identify factors that predict survival in patients with variceal bleeding who have undergone transjugular intrahepatic portosystemic shunt (TIPS) placement. Patients and Methods: TIPS was performed in 64 of 65 patients. Indications were bleeding esophagogastric varices in 64 patients and hemorrhoidal bleeding in one. Child-Pugh classifications were A in two patients, B in 32, and C in 31. Acute bleeding was controlled before TIPS in 26 patients in stable condition but not in 39 patients whose condition was unstable. Results: Twelve patients died within 30 days of TIPS, and another 14 died thereafter. The cumulative survival rate was 67% at 6 months and 56% at 1 year. Cumulative 30-day survival was 96% for stable and 69% for unstable patients, a significant difference (P = .0135). Thirty-day survival was 91% for patients in Child-Pugh classes A and B combined and 71% for patients in class C (P = .042). Conclusion: Efforts to control acute bleeding and improve a patient's metabolic status before TIPS are likely to improve 30-day survival.

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KW - Shunts, portosystemic, 957.453

KW - Stomach, varices, 72.75

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